关节镜下Endobutton联合Orthocord缝线固定治疗成人前交叉韧带胫骨止点撕脱骨折的短期疗效评价  

Short-term evaluation of arthroscopic Endobutton combined with Orthocord suture fixation for tibia eminence fracture of anterior cruciate ligament in adult

作　　者：李洪秋[1] 邓纯博[1] 冯时 刘林 阿良[1] Li Hongqiu;Deng Chunbo;Feng Shi;Liu Lin;A Liang(Department of Orthopaedics,Central Hospital Affiliated to Shenyang Medical College,Shenyang 110024,China)

机构地区：[1]沈阳医学院附属中心医院骨外二科,110024

出　　处：《中国医师进修杂志》2019年第10期904-908,共5页Chinese Journal of Postgraduates of Medicine

摘　　要：目的评价关节镜下EndoButton联合Orthocord缝线固定治疗成人前交叉韧带胫骨止点撕脱骨折短期疗效.方法回顾性分析沈阳医学院附属中心医院2017年4月至2018年10月采用Endobutton联合Orthocord缝线固定技术治疗的9例成人前交叉韧带胫骨止点撕脱骨折患者资料,术后3、6个月记录膝关节活动范围和评价膝关节稳定性.结果患者均在术后3、6个月获得随访,术后2个月CT检查示骨折复位且愈合,术后3个月磁共振检查显示前交叉韧带张力良好;术后3、6个月膝关节活动范围0°~130°,Lanchman试验均为阴性,术前Lysholm评分(45.2±6.7)分、IKDC评分(55.1±7.3)分,术后3个月Lysholm评分(89.1±7.2)分、IKDC评分(87.4±6.1)分,术后6个月Lysholm评分(95.4±6.5)分、IKDC评分(93.2±7.8)分.结论关节镜下Endobutton联合Orthocord缝线固定治疗成人前交叉韧带胫骨止点撕脱骨折的短期疗效良好.Objective To evaluate the short-term effect of arthroscopic Endobutton combined with Orthocord suture fixation for tibia eminence fracture of anterior cruciate ligament in adults. Methods The data of 9 adult patients with tibia eminence fracture of anterior cruciate ligament treated with Endobutton combined with Orthocord suture fixation from April 2017 to October 2018 were retrospectively analyzed. The range of motion of knee joint and the stability of knee joint were recorded 3 and 6 months after operation. Results All patients were followed up for 3 and 6 months after operation. CT examination showed fracture reduction and healing 2 months after operation, and magnetic resonance image examination showed good anterior cruciate ligament tension 3 months after operation. The range of motion of knee joint was 0°-130° after 3 and 6 months, and Lanchman test was negative. The Lysholm score was (45.2 ± 6.7) scores, and IKDC score was (55.1 ± 7.3) scores before operation. The Lysholm score was (89.1 ± 7.2) scores, IKDC score was(87.4 ± 6.1) scores, Lysholm score was (95.4 ± 6.5) scores and IKDC score was (93.2 ± 7.8) scores at 6 months after operation. Conclusions Endobutton combined with Orthocord suture fixation under arthroscopy has a good short-term effect in the treatment tibia eminence fracture of anterior cruciate ligament in adults.

关 键 词：关节镜检查 Endobutten 胫骨髁间棘骨折 

分 类 号：R687.4[医药卫生—骨科学]